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How to treat complicated wounds using Enluxtra dressings

4/17/2017

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​We are often asked how to best apply Enluxtra dressing on wounds with such complications as cavities, tunnels (sinus tract), undermining, as well as fistulae.
Our Clinical Director Vicki Fischenich offers an expert advice.

(New to Enluxtra?  C​lick for FREE SAMPLES .)

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​Causes and prevention
Common cause of wound tunneling is infection of the underlying tissues. Infections could be of cutaneous origin or from deeper structures, such as bone in cases of osteomyelitis. Undermining, on the other hand, is usually the result of shear force when the patient is being moved or transferred, or sliding in resting position.
 
Treating the causes of these types of complications should be one of the first priorities: treating infection, offloading, exercising careful patient handling. It’s important to properly lift the patient with an existing wound rather than use dragging or pulling motions to avoid shear forces when transferring or repositioning them. Follow up with offloading the wound site as much as possible for faster healing.

​Treating complicated wounds
 
Here’s an example of a typical wound with undermining. Enluxtra dressing has been used to remove the black eschar scab and now the challenge is applying Enluxtra on this wound so slough continues to come off and the wound flattens out and heals.
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Below is the strategy suggested by our clinicians:
1. FILL THE WOUND WITH A PROPER PACKING MATERIAL

The purpose of filling a cavity, tunnel, sinus tract, etc. is to transfer exudate and slough away from the wound into Enluxtra dressing (where it will be reliably locked in) and it is VERY important to avoid dead space (voids) that may create further wound complications: seromas, or the upper part of wound closing on the surface and leaving an open space underneath. 
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One of the critical considerations is selecting a product that retains its shape even when moist so it can stay in contact with the undersurface of Enluxtra dressing.  

Any product selected as a filler material must not shrink or decrease in size in the moist wound environment that may cause it to retract back from Enluxtra dressing. This situation often leads to maceration, foul odor; stalling of wound progress, wound decline.

Any filler material made of cellulose fiber (such as an alginate or Aquacel Ag or honey alginate) SHOULD BE AVOIDED.


We suggest that the caregiver fill the undermining spaces, tunnels or cavities with regular or AMD gauze using a Q-tip or a similar tool. It is important not to overstuff these spaces, just lightly place the gauze so it reaches the farthest points.

​2. CREATE EXTRA WICKING SURFACE 

Bring the end piece of gauze out and spread it across the periwound to create as much surface area that will touch the undersurface of Enluxtra dressing. This will aid in wicking even more exudate away from the wound (including its undermining parts) and transferring it into the Enluxtra dressing. The gauze spread across the periwound must be covered completely by Enluxtra with a 1” overlap onto the healthy skin.  Be sure that the removal of the dressing is done before drainage reaches the dressing edge.
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​3. ENSURE FULL CONTACT

Apply Enluxtra dressing and ensure that its undersurface is in FULL CONTACT with the packing material and with any areas of the wound that are not covered with gauze, especially sloughy parts. This will expedite the removal of non-vital tissue from the wound.


4. CHANGE THE DRESSING MORE OFTEN INITIALLY

Change Enluxtra dressing and wound filler every 2-3 days until the wound is clear of slough and non-vital tissue. Then gradually increase the time between  changes to up to 5-7 days, depending on the exudate level.
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5. DO NOT FORGET ABOUT PROPER NUTRITION
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Another important thing to keep in mind is making sure the patient’s nutrition is adequate. Wounds like this consume a lot of calories, therefore the patient’s caloric requirements may be higher.

Below you can see Enluxtra dressing application in a recent case of deep tissue injury that progressed to unstageable wound with black necrotic tissue and then to an open wound with undermining (now completely healed!):
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REVIEW THE SUMMARY OF THE CORRECT APPLICATION TECHNIQUES IN THE SHORT VIDEO BELOW:
Tell us about your experience with Enluxtra! Are you treating a challenging wound? Do you need some advice? Our help line is open: call 888-519-2297 and use extension 7 for clinical support.
To self-educate, check out our mini-tutorials, attend a live clinical webinar, take a basic application mini-course, or, if you’re extra-ambitious, get certified!


If you are new to ENLUXTRA, do not forget to order professional FREE SAMPLES!

Read other posts in our blog.
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Why you need to try the smart Enluxtra dressings

4/5/2017

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SAWC Spring 2017 attendees: stop by the Enluxtra booth #443 to pick up your FREE SAMPLES and learn how you can heal some of the most challenging wounds you have ever encountered.
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​     Advanced wound care boasts a range of impressive technological achievements: from NPWT to biologics to stem cell treatments – but all of them come at a price. It may be the intricate application process, the unpredictable success rate, or plain old bulkiness, and certainly, first and foremost, the cost.
​
     Meanwhile, Enluxtra Smart Wound Dressing presents a clever and proven solution to most wound care woes in an elegant if simple package. It looks very much like a pad dressing clinicians are familiar with (it often gets confused with foams), but this plain appearance is deceptive. Reports abound of the most difficult wounds that have lingered for years yet heal in weeks with Enluxtra.
What is the secret?
     Smart polymer technology, packed into the patented dressing material, automatically regulates moisture loss over the wound bed and vulnerable periwound skin. The result — optimal moist healing environment over each distinct area of the wound ALL THE TIME. That’s right, all the drainage gets absorbed and held inside the dressing (along with pathogens and liquefied non-vital tissue), yet dry areas stay hydrated concurrently, even as the wound landscape shifts and changes overtime.
 
What does it mean for clinicians?
      Would you want to get away from the agonizing process of selecting a wound treatment for that particular wound, at that particular stage, with that amount of drainage, in a patient with that many co-morbidities?
Would you want to get away from having to do this every time the wound is re-assessed?

        Now you have the tool to help you do just that. Not only Enluxtra is universally applicable to any type and stage of wounds with any amount of drainage, it also delivers spectacular healing outcomes even in very compromised patients. And it does so with no added medication and virtually no co-products. What’s more, both application and removal take minutes and are painless and non-traumatic.

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      Essentially, Enluxtra provides advanced wound care that is affordable, outstanding in clinical outcomes, and very easy on both the nursing staff and the patients.
Still not convinced?
We offer FREE SAMPLES for medical professionals to get you on the right track of healing. Order today, and you will receive a package with several dressings and educational literature (very important!).

If you are a SAWC Spring 2017 attendee, stop by our booth #443 to pick up your free samples.

When in doubt, call our clinical help line at  888-519-2297, ext. 7

You can also self-educate and even become a certified Enluxtra user through our extensive e-learning program.

Good luck and happy healing!


​​​See other posts in the Enluxtra Blog
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    Welcome

    This blog is an online hub for new and seasoned ENLUXTRA "Any Wound" users, and for those curious about this next generation of advanced wound dressings - Self-Adaptive Wound Dressing. Find out about the company and the product, about our achievements and successes, and share your own stories.  ​

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Covered for exuding wounds, up to 30 dressings per month.
500 Laurelwood Rd., Ste 1
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Phone: 888-519-2297
          
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© 2023 OSNovative Systems. All rights reserved. Disclaimer: The contents of this site is for reference purposes only and is not intended to substitute for advice given by a physician, pharmacist, or other licensed healthcare professional. You should not use this information for self-diagnosis or for treating a health problem or disease. Contact your healthcare provider immediately if you suspect that you have a medical problem.